Organization Active NPI

Goldenwood, Inc.

  • Optometrist
  • Golden, CO
National Provider Identifier
1356595375
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1109 Issued in CO
Legal business name
GOLDENWOOD, INC.
Practice address
1208 Washington Ave
Golden, CO 80401-1145
Phone
(303) 279-3713
Fax
(303) 273-5823
NPI assigned
Nov 5, 2008
Organization subpart
Yes
Parent organization
GOLDENWOOD, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eva K. Strube, O.D.
Title
Optometrist
Phone
(303) 279-3713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1109 CO Primary

Addresses

Primary practice location

1208 Washington Ave
Golden, CO 80401-1145

Mailing address

1208 Washington Ave
Golden, CO 80401-1145
Phone (303) 279-3713

Other names 1

  • Avenue Vision Doing business as

National Provider Directory

National Provider Directory
Part of
Goldenwood

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1356595375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 WASHINGTON AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011145",
            "telephone_number": "303-279-3713",
            "fax_number": "303-273-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 WASHINGTON AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011145",
            "telephone_number": "303-279-3713",
            "fax_number": "303-273-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENWOOD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOLDENWOOD, INC",
        "enumeration_date": "2008-11-05",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "STRUBE",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "303-279-3713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.